Spring of Life Health Care

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

SPRING OF LIFE HEALTH CARE

Practice address

3700 Mapleshade LN Apt 2072
Plano, TX 75075-6013

Phone

(469) 215-1140

NPI assigned

Sep 3, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Clemencia Mabuya

Title

Administrator

Phone

(469) 215-1140

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535932800000",
    "number": "1740762020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 MAPLESHADE LN APT 2072",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756013",
            "telephone_number": "469-215-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 MAPLESHADE LN APT 2072",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756013",
            "telephone_number": "469-215-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING OF LIFE HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-03",
        "last_updated": "2018-09-03",
        "status": "A",
        "authorized_official_last_name": "MABUYA",
        "authorized_official_first_name": "CLEMENCIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-215-1140",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spotted Bass Neuromonitoring, LLC
• David Spradlin, H.I.S.
• Sydney Leigh Spradlin, LPC
• Spring Creek Dental Group PLLC
• Spring Creek Pharmacy
• Spring Smile Inc
• Spring Valley Massage & Wellness Center,
• Kathryn Marie Springfield, PA-C
• Michelle Farrar Springfield, MICHELLE SPRINGFIELD
• Jennifer H Springman, LPC

• Home Health Aide in Plano, TX
• Providers in Plano, TX by specialty
• Home Health Aide in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.